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General NPI Number Information
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NPI Number | 1235252685
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Entity Type | Individual
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Provider Name | STEVEN THUAT NGUYEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 506 W GRAHAM AVE STE 205
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-3600
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Country | US
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Telephone | 951-674-6853
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Fax | 951-674-6854
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Provider Business Mailing Address
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Address Line | 40315 WINCHESTER RD STE C
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City | TEMECULA
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State | CA
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Zip | 92591-5559
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Country | US
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Telephone | 951-304-7881
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Fax | 951-304-7882
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 48758
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License Number State | CA
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